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Article
29 April 2022
Amid war, Ukrainian mothers fight for a healthy future for children
https://www.unicef.org/eca/stories/amid-war-ukrainian-mothers-fight-healthy-future-children
Even war will not stop Hanna Omelchenko, a 30-year-old mother who fled Kyiv with her family, from getting her children vaccinated.  “I believe that vaccination is really the least we can do for our children,” she says. “Not so long ago, many children were dying from dangerous infections or suffering terrible consequences. Now medicine and science allow us to get protected.” image A few weeks ago, Hanna was cradling her twin sons in their basement as the shells pounded the ground above. Now, having found a safe place to stay in Uzhgorod, a city in western Ukraine, she is determined to give one-year-old Solomiya and Myron a shot at a healthy, peaceful future.  Yulia Dovhanych, who founded a medical center in Uzhgorod, is one of the doctors helping her to secure it. "War is not a reason to avoid vaccination,” says Yulia. “On the contrary, now all of us, both doctors and parents with children, need to be even more disciplined and take better care of our health.”   image Many Ukrainians like Hanna have found themselves far from home, without a family doctor. There are 50,000 internally displaced people in Uzhgorod alone. And, as the violence in Ukraine escalates, so too does the risk of infection outbreaks.  At the end of last year, an outbreak of polio was reported in the country’s Zakarpattia and Rivne regions, resulting in the paralysis of at least two children. Now, these regions are seeing the arrival of some of the highest numbers of internally displaced persons from across the country.   image Yulia, who has been working as a doctor for 11 years, knows all too well how crucial it is for children to be vaccinated.  “It is extremely important to protect children from polio, because there is no cure for this disease,” she says. “And it can have grave consequences, such as lifelong paralysis. Vaccination protects against such consequences and death from the disease." In Uzhgorod hundreds of displaced families have turned to local health facilities to get their children vaccinated. Some children will see a doctor for the first time, having been born only recently.  “I am glad that I found a medical center, where the children and I feel comfortable and where we get everything we need,” says Hanna. “I want to address Ukrainian mothers – vaccination is really the least you can do to protect your child. If you are not under fire and are safe, do not hesitate to vaccinate your children! All the barriers you may think of are nothing compared to the threats posed to your baby by infectious diseases.”   image "Everyone has their own fight now,” adds Yulia. “Our fight is against infectious diseases. It is a fight for health. There is no cure for polio. But there is a reliable protection – vaccination.” In the past months, millions of Ukrainian families have fled their homes and now face an uncertain future, meaning that thousands of children across the country are missing vital doses of vaccines to protect them from polio, measles, diphtheria and other life-threatening diseases. Before February 2022, a steady and measurable process has been achieved in revamping routine immunization rates to pre-pandemic levels.  Now, low immunization rates, coupled with an ongoing polio outbreak, limited access to hygiene, and overcrowded waiting and transit points in others, pose a serious threat of infectious diseases outbreaks in Ukraine.  UNICEF is providing ongoing support to the government of Ukraine and its national immunization program through training health professionals, helping to set up and maintain the vaccine cold chain system, launching communication and behavior change campaigns on the importance of vaccination, and combating misinformation about vaccines.  
Article
01 February 2021
Strengthening the implementation of health policies
https://www.unicef.org/eca/stories/strengthening-implementation-health-policies
The initiative also promotes and supports multi-disciplinary approaches and teams to address the complex causes of health problems among refugee and migrant children – from trauma, anxiety and over-crowded conditions, to lack of hygiene facilities and immunization. As a result, support from the ‘RM Child-health’ initiative builds trust between refugee and migrant families and health providers. At the Centre for refugees and migrants near Bela Palanka in south-eastern Serbia, for example, the needs of refugee and migrant women have shaped the development of the Community Centre run by ADRA, with its Mother and Baby Corner for women with infants. Here, women can take part in language classes, sports activities and, crucially, in workshops about their own health and rights. “ The most important thing is that all the advice from our doctor is in line with their economic circumstances and current living situation [in Reception centres],” explains social worker Andja Petrovic. “The advice is tailored to their life and I think they particularly like that, because they can see that their situation is acknowledged. Because when they go to a doctor [in other facilities], they get advice that they can’t follow because they don’t have the living conditions for it.” Also in Serbia, funding from the ‘RM Child-health Initiative’ supports work by UNICEF and the Institute of Mental Health that looks beyond the provision of basic health care to assess the scale and nature of substance abuse among refugee and migrant communities. This cutting-edge field research will guide the development of materials and capacity building specifically for health and community workers who are in regular contact with young refugees and migrants, helping these workers to identify and tackle substance abuse by connecting children and youth to support services. As one researcher involved in the research commented: “Most of those children have spent several years without a home or any sense of stability. They can't make a single plan about the future since everything in their life is so uncertain. I can't begin to imagine how frightening that is.” By building greater rapport between frontline workers and children, and by equipping those workers with the support, skills and resources they need, the ‘RM Child-health’ initiative is helping to transform health policies into health practice. This vital work has been particularly crucial in 2020, as frontline workers have had to confront – and adapt to – the greatest public health crisis in living memory: the COVID-19 pandemic. Logo This story is part of the Project ‘Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe’, Co-funded by the Health Programme of the European Union (the ‘RM Child-Health’ initiative).It represents the views of the author only and is her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the Consumers, Health, Agriculture and Food Executive Agency or any other body of the European Union. The European Commission and the Agency do not accept any responsibility for use that may be made of the information it contains.
Article
29 January 2021
Strengthening national health capacity for refugee and migrant children
https://www.unicef.org/eca/stories/strengthening-national-health-capacity-refugee-and-migrant-children
“This collaboration is helping to stimulate public demand for strong national health systems that work for everybody and that rise to new challenges, such as disease outbreaks.” Afshan Khan, UNICEF Regional Director The ‘RM Child-Health’ initiative has supported work across five European countries to enhance and strengthen the capacity of national health systems to meet the health needs of refugee and migrant children. This work recognizes that a health system that works for such vulnerable children is a health system that works for every child. At first glance, helping a 10-year girl from Iran, now living in Bosnia and Herzegovina, get a new pair of glasses might seem a simple thing. For Maisa, however, this is the end result of a continuum of intensive support, from identifying a girl who struggles with an eye condition, to connecting her to a skilled ophthalmologist. And now Maisa stands in front of a mirror, trying on the glasses that will enhance her life, learning and play. Such a momentous day is only possible when an established health system is equipped to accommodate and respond to the complex needs of refugee and migrant children. Support from the ‘RM Child-Health’ initiative aims to reinforce and enhance health systems across five European countries (Bosnia and Herzegovina, Bulgaria, Greece, Italy and Serbia) so that these systems can deliver the high-quality services that are the right of every child – and that every child needs, regardless of their origins. The aim: to ensure that health systems catch every refugee and migrant child who is in danger of slipping through the gaps. And there are additional benefits: a health system that works for these vulnerable and excluded children is a health system that works for every child, and that can reach those who are so often the very hardest to reach. This 24-month, €4.3 million initiative, which was launched in January 2020 by the European Union Directorate-General for Health and Food Safety, aims to strengthen the capacity of health systems to deliver health care to refugee and migrant children. That means ensuring access to life-saving immunization, to mental health and psycho-social support, and services to prevent and respond to gender-based violence, as well as maternal and new-born health care and nutrition. Stronger health systems are needed to overcome the bottlenecks that confront so many refugee and migrant families when they try to access health care. “ The profound challenges that often confront populations – especially children – on the move can include cultural and language barriers, stigma and discrimination on the part of health providers, and a lack of detailed medical records or paperwork,” says Dr. Basil Rodriques, UNICEF Regional Health Advisor. “They may also have their own reasons to distrust state-provided services, including fears of deportation.”
Article
31 May 2021
Making the European Child Guarantee a Reality. Insights from testing the European Child Guarantee
https://www.unicef.org/eca/stories/making-european-child-guarantee-reality-insights-testing-european-child-guarantee
MARGARETA MADERIC State Secretary, Ministry of Labour, the Pension System, the Family and Social Policy European Union Margareta Mađerić was born on 2 July 1977 in Zagreb. After finishing high school, she enrolled in Zagreb School of Business where she obtained her bachelor’s degree in Marketing and Communication and worked as a marketing and communications manager before entering into politics. In 2005, as a member of Croatian Democratic Union (HDZ), Mađerić was elected to the Zagreb City Assembly, where she served three consecutive terms and served as president of the Deputy Club of the Croatian Democratic Union. In the 2013 local elections in Zagreb, she ran as the HDZ candidate for mayor, and in the 2015 Croatian parliamentary elections, Mađerić ran as a candidate for the Patriotic Coalition, led by the HDZ. She was a member of the Croatian Parliament and was named president of the Parliamentary committee for mandates and immunity, before she assumed the position of State Secretary in the Ministry for Demography, Family, Youth and Social policy. Following the 2020 parliamentary elections she continued to serve as State Secretary in the new Ministry of Labour, Pension system, Family and Social Policy. SAILA RUUTH Personal archive

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